1. (a) Application for services shall be made by:

   1. (1) The applicant;
   2. (2) A guardian of an applicant under the age of 18;
   3. (3) A guardian of an applicant age 18 or over if a guardian of the person has been appointed by the probate court pursuant to RSA 464-A; or
   4. (4) A representative of the applicant authorized to make such application.
2. (b) An application for services shall be made in writing to the area agency in the applicant’s region of residence.
3. (c) An area agency shall explain the eligibility process and offer assistance to the applicant, guardian, or representative in making application for services.

4. (d) The area agency shall inform the applicant, guardian, or representative of its roles and responsibilities and provide information about:

   1. (1) The types of evaluations, assessments, and screenings needed to assist in the development of the service agreement;
   2. (2) Eligibility determination;
   3. (3) Service coordination;
   4. (4) Service agreement development and review;
   5. (5) Services provided by the area agency and the assistance available to identify the services that are required;
   6. (6) Service provision;
   7. (7) Service monitoring; and
   8. (8) Advocacy supports.
5. (e) To aid in the provision of comprehensive, efficient, and coordinated services, the area agency shall undertake a review of the public and private benefits and resources that are available to the applicant and inform the applicant of all such benefits and resources.

6. (f) An area agency shall request each applicant to authorize the release of information to permit the area agency to access relevant current and historical records and information for the determination of eligibility pursuant to He-M 522.03 regarding the applicant’s:

   1. (1) Acquired brain disorder;
   2. (2) Personal, family, social, educational, neuropsychological, medical, and rehabilitation status; and
   3. (3) Functional abilities, interests, and aptitudes.

7. (g) Authorization to release information shall specify:

   1. (1) The name of the applicant and the information to be released;
   2. (2) The name of the person or organization being authorized to release the information;
   3. (3) The name of the person or organization to whom the information is to be released; and
   4. (4) The time period for which the authorization is given, which shall not exceed one year.

Source. #7120, eff 10-20-99; ss by #8974, INTERIM, eff 10-6-07, EXPIRED: 4-3-08 New. #9734, eff 6-25-10; ss by #12683, eff 11-30-18; ss by #14253, eff 5-22-25, EXPIRES: 5-22-35